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Work as a social determinant and its influence to health of medical staff in selected hospitals
FRYDRÝNOVÁ, Anna
This Master's thesis called "Labour as a Social Determinant and its Influence on the Health of Medical Staff in Selected Hospitals" is divided into two main sections. The first section summarizes current knowledge from both Czech and world literature from the field of social determinants related to health and labour. The second part of this work deals with the aim of the research, data collection and data processing methods as well as with the very evaluation of the output information and a discussion of the results elicited. The theoretical part is divided into four chapters and consists of basic issues related to the aim of this Master's thesis. The first chapter describes social determinants of health from various points of view. One of the chapter's components is a description of a current conception of these determinants. The second chapter deals with the construct of health, its definition and its conception. Last but not least it treats health as a determiner. The third chapter summarizes a social determinant of labour and labour-related terms. The author is further concerned with the importance of work for humans and with labour safety and hygiene. The fourth and last chapter is dedicated to public health of the Czech republic, its history, the system of health care and further focuses on the structure and services of Ostrov hospital and Sokolov hospital. The aim of this Master's thesis is proposed in the empirical part of this work. The aim was to map the influence of labour as a social determinant of the health of medical staff in selected hospitals. Next, constitutive objectives were established. Their purpose was to map the impact of workplace relationships and their influence on the overall health of medical staff as well as the impact of working environment including salary, working hours, work agenda and workplace security on the overall health of medical staff. The following hypotheses were assessed in connection with the objectives of this work: H1: Workplace relations of medical staff affects their overall health. H2: Salary affects the overall health of medical staff. H3: Working hours affects the overall health of medical staff. H4: Work agenda affects the overall health of medical staff. H5: Workplace safety affects the overall health of medical staff. Based on the statistical testing hypotheses 1, 3 and 4 were confirmed. Hypotheses 2 and 5 were not confirmed. The enquiry within the framework of this Master's thesis was conducted using a quantitative research. The interviewing method and the technique of questionnaire were used for data acquirement. The questionnaire was composed from questions regarding the matter of inquiry, questions evaluating subjective health of the respondents, questions related to the occupation of the people addressed. The round of questions was finally targeted at the issue of respondents' health vs. their work. The questionnaire was anonymous. The research distribution was accomplished via Deputy Minister of health care in both hospitals. The research file was formed by a medical staff who work in Sokolov hospital and Ostrov hospital. The resulting data were entered and processed using SPPS program vision 16.0 and 23.0 (Statistical Package for Social Science). The data were further evaluated and processed via graphs and tables in absolute numbers and percentages. After the evaluation of all questions in the questionnaire I reached a conclusion that labour as a social determinant of health has impact on the health of medical staff. I shall also assume that the majority of respondents were quite positive while rating the overall complacence with their jobs. Their complacence appears despite the mental rather than physical demand which undoubtedly goes with medical careers as well as despite their work conditions and workplace relationship which all impact their overall health.
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Coordinated rehabilitation of clients of selected wards of the Hospital in Ostrov
FRYDRÝNOVÁ, Anna
This thesis is called Coordinated rehabilitation of clients from selected wards of the Hospital in Ostrov. The aim of the thesis was to compare course and schedule of the coordinated system applied on the clients from selected hospital wards in Ostrov Hospital. Secondary goal was to survey services provided within the frame of the coordinated system of rehabilitation in Ostrov Hospital. In theoretic part of work was performed author?s knowledge of special scientific literature. Notion Coordinated rehabilitation was defined as well as its incorporation within legal regulations. Furthermore International Classification of functional abilities, disabilities and health were referred to briefly.Last subchapter of the theoretical section was dedicated to the introduction of the Ostrov. Observational part was compiled by using method of the qualitative research. Selected technique of the data collection was documentary analysis, survey and questionnaire. Author worked with health documentation of the three clients that was transformed into three casuistries. Those are listed in the chapter Results.Author had asked clients for their permission to be mentioned and published in her work and she received from all casuistic clients their advance agreement in written form. Last supplementary method of the data collection was knowledge questionnaire. This was compiled on the basis of the theoretical part of this work and distributed among staff of the above mentioned wards where the clients were hospitalized. The aim of the research was to answer question, whether single units of the coordinated rehabilitation system applied on the clients from selected wards of the Ostrov hospital are well interconnected? Author?s detailed statement is listed in chapter called Discussion, where she associates herself with theories of specialized publications on Coordinated rehabilitation system written by other authors. During the research phase author came to the conclusion, that both medical and social elements of the Coordinated rehabilitation system work perfectly.Both elements were linked together. However they lacked continuity, contingency or client awareness in the area of working and pedagogical rehabilitation. In neither of casuistries was applied this elementary unit of the Coordinated rehabilitation system. Author?s presupposition was intensified by partial unfamiliarity of the staff with pedagogical and working rehabilitation. For example in question no. 11 where 43 % of the interviewees declared that the only job opportunity available for the handicapped people is protected workshop and protected job for the disabled people.This fact resulted from the knowledge questionnaire given to the staff of Ostrov hospital. Hence functionality and connectivity of the system was primarily influenced by the cooperation of the individual specialists who are part of the client?s multidisciplinary team. Secondly the efficiency of the provided care resulted from the cooperation of the individual clients. This work can be used for educational purposes of individual staff in Ostrov hospital, alternatively in other health centres. Additionally it can be used as valuable source of information for students of health and social care studies, helping health workers, but also for non-professional laic public.
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